Active NPI
Wolf and Wolf Optometrists, PC
- Optometrist
- Saint Louis, MO
National Provider Identifier
1417075722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- WOLF AND WOLF OPTOMETRISTS, PC
- Practice address
- 111 Cliff Cave Rd
Suite 100
Saint Louis, MO 63129-3611 - Phone
- (314) 846-8232
- Fax
- (314) 846-2428
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael L Wolf, OD
- Title
- Doctor Owner
- Phone
- (314) 846-8232
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
111 Cliff Cave Rd
Suite 100
Saint Louis, MO 63129-3611
Mailing address
111 Cliff Cave Rd
Suite 100
Saint Louis, MO 63129-3611
Phone (314) 846-8232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 507942803 | Medicaid | MO |
Other names 1
- Eye Associates of South County
National Provider Directory
National Provider DirectoryLocations
111 Cliff Cave Rd
Ste 100
Saint Louis, MO 63129
Phone (314) 846-8232
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Corneal and Contact Management Optometrist
- Saint Louis, MO
- NPI 1134237365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435708800000",
"number": "1417075722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CLIFF CAVE RD",
"address_2": "SUITE 100",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631293611",
"telephone_number": "314-846-8232",
"fax_number": "314-846-2428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 CLIFF CAVE RD",
"address_2": "SUITE 100",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631293611",
"telephone_number": "314-846-8232",
"fax_number": "314-846-2428"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOLF AND WOLF OPTOMETRISTS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2015-07-01",
"status": "A",
"authorized_official_last_name": "WOLF",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DOCTOR OWNER",
"authorized_official_telephone_number": "314-846-8232",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "507942803",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eye Associates of South County",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.